Registration Form

Name:

Address of Correspondence:

Mobile No.:

Email ID:

Father's Name:

Mother's Name:

Nationality:
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Date of Birth:

Qualification:
10th12thGraduationPost GraduationDiploma

Univ/Board:

Passing Year:

Percentage of Marks:

Course Applying For:
BAB.LibBBAB.ComBJMCB.Sc. PCMB.Sc. ZBCB.Sc. ITDCAMAM.LibMBAM.ComMJMCM.Sc. PCMM.Sc. ZBCM.Sc. IT

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Passport-size Photograph:

Signature:

Payment:
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